Robert Evan Lozoff, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029328 Issued in IL

Practice address

515 Sheridan Rd
302
Evanston, IL 60202-4703

Phone

(720) 317-8421

NPI assigned

Apr 25, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1881869279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SHERIDAN RD",
            "address_2": "302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024703",
            "telephone_number": "720-317-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SHERIDAN RD",
            "address_2": "302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024703",
            "telephone_number": "720-317-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZOFF",
        "first_name": "ROBERT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41120086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lorenz, PA-C
• Lori Aitken, LCPC
• Erin Maureen Loughlin, LCPC
• Allison Jane Lovering Fastert, PT, DPT, GCS, IADN
• Maisha Lowery, LCPC
• Stephanie Lubin
• Lauren Buchner Luca, OTD, OTR/L
• Stephen Michael Lucas, LPC
• Michael Lucio, BCBA
• Jennifer Ludwig, MA, ATC

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.